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《Journal of Medical Research》 2020-04
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Application of Wedge-shaped Resection Combined with Modified Embedded Type Vertical Mattress Suture in the Secondary Cesarean Section

Chen Jiajia;Zhao Shenzhi;Dong Ke;Department of Gynecology and Obstetrics, The Second Affiliated Hospital of Wenzhou Medical University;  
Objective To investigate the application of wedge-shaped resection combined with modified embedded type vertical mattress suture in the abdominal incision for secondary cesarean section. Methods This is a self-controlled prospective study. The scar width and vancouver scar scale(VSS) score were measured before and at 3, 6, and 12 months after surgery to evaluate the scar hyperplasia. Results The scar width(0.52±0.26 cm vs 1.01±0.35 cm) and VSS score(2.75±1.07 vs 5.50±2.76) at 12 months after surgery were significantly different from those before surgery(P=0.000). Conclusion Wedge-shaped resection of abdominal wall scars and adipose tissue, followed by adipose tissue sutured with modified embedded type vertical mattress method can significantly mitigate the scar widening and hyperplasia of postoperative incision. Therefore, this method is worthy of spreading to application for improved esthetic effects of the scars.
【Fund】: 国家自然科学基金资助项目(81471493)
【CateGory Index】: R719.8
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